Provider Demographics
NPI:1508308297
Name:ZINK, BRITT M (MSPT, CERT MDT)
Entity Type:Individual
Prefix:
First Name:BRITT
Middle Name:M
Last Name:ZINK
Suffix:
Gender:F
Credentials:MSPT, CERT MDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6236 S PINNACLE PL STE 104
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-3013
Mailing Address - Country:US
Mailing Address - Phone:605-215-8890
Mailing Address - Fax:605-799-0131
Practice Address - Street 1:6236 S PINNACLE PL STE 104
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-3013
Practice Address - Country:US
Practice Address - Phone:605-215-8890
Practice Address - Fax:605-799-0131
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-10
Last Update Date:2022-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1717225100000X
SD0906225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0906OtherPT LICENSE
NE1717OtherPT LICENSE